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Individual

KRISTEN LOUISE KENNISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
203 GROVE ST, MARYSVILLE, OH 43040-1318
(419) 673-7248
Mailing address
536 GRACE DR, MARYSVILLE, OH 43040-5544

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14505
OH

Other

Enumeration date
08/12/2021
Last updated
08/25/2023
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